Anal pain - After Hemorrhoid surgeries

Hello,

I have posted on here before and had some good feedback. I am looking for suggestions on how to deal with my situation.

I have had 3 hemorrhoid surgeries resulting in tremendous pain over the last 5 years. I have a sensation of rectal fullness and tightness. I recently had a colonoscopy and told me I’m in the clear although I still have pain. I am trying to shift my mindset into the TMS world but the issue is that I generally see blood on the toilet paper. This constantly makes me believe there is something structurally wrong (hem, fissure, etc) yet I have been told by my doc they don’t see anything. The blood is coming from somewhere and that’s where I’m getting caught up in battle to accept TMS or to still focus on getting a second opinion on the anal bleeding. It doesn’t shoot pain when I have a bowel movement so there’s not something that is extremely painful during a bowel movement although it is slightly uncomfortable and concerning seeing the blood.

Any suggestions or has anyone else done TMS for anal pain / CPPS / fissure / hem like symptoms ?